Poster électronique

Apport de l’imagerie dans la détection des différentes complications des otites moyennes cholestéatomateuses
C. Jemli Chammakhi, R. Attaoui, R. Massoudi, N. Saddoud, O. Ben Gamra, A. El Khedim, MH. Daghfous - Tunis - Tunisie
Congrès 2010
Résumé
Objectifs
On propose d'évaluer l'apport de l'imagerie (scanner et IRM) dans le diagnostic des différentes complications des otites cholestéatomateuses.
Matériels et méthodes
Nous avons mené une étude rétrospective ayant portée sur 242 otites moyennes chroniques cholestéatomateuses dont 73 cas (34 %) étaient compliquées. Ces complications étaient multiples et associées dans 13 cas en rapport avec des cholestéatomes extensifs ; avec 166 cas explorés par TDM et 10 cas ont une IRM en plus.
Résultats
Les complications ont été suspectées devant la cophose, la paralysie faciale périphérique, la tuméfaction rétroauriculaire inflammatoire, les céphalées et les vertiges. Les différentes complications retrouvées étaient une fistule labyrintique (7,8 % des cas), une lyse du canal facial (19,4 % des cas), une dénudation méningée (3,3 % des cas), une otomastoïdite aiguë extériorisée (4,1 % des cas), un abcès cérébral (0,4 % des cas) et une thrombose du sinus latéral (1,2 % des cas).
Conclusion
L'otite moyenne chronique cholestéatomateuse est une entité fréquente dont le diagnostic peut être suspecté cliniquement mais l'étude, l'extension, les complications restent le rôle majeur du scanner et de l'IRM.
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2016-04-12 02.27 :
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2012-04-01 16.58 :
E

Manque d'images, de flèches, de zoom

2011-07-22 01.07 :
meching

tres edifiant

2011-03-11 17.56 :
touimer

tres bonne presentation

2010-11-28 19.56 :
frey

bien
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